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field claims adjuster resume example with 20+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Professional Summary

Dedicated [Industry] professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Skills
  • Analytical and Critical Thinking
  • Verbal and Written Communication
  • Multitasking and Organization
  • Microsoft Office
Work History
05/2021 to 12/2022 Field Claims Adjuster Assurant | Homestead, PA,
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
  • Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
  • Analyzed information gathered by investigations to report findings and recommendations.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Collaborated with claims department and industry anti-fraud organizations to resolve claims.
  • Maintained suspicious claims database and prepared reports for supervisors.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Synthesized data into comprehensive quarterly written reports for management.
  • Followed up with insured individuals regarding premium and deductibles payments.
  • Organized, planned and documented materials for [Type] claims.
  • Directed and coordinated various investigations conducted by field investigation team.
  • Established productive working relationships with public officials and law enforcement officers.
  • Maintained claims data in [Type] systems.
  • Followed up on potentially fraudulent claims initiated by claims representatives.
  • Negotiated [Type] settlement agreements to resolve disputes.
  • Handled [Type] calls from customers and other stakeholders about [Type] processes.
  • Prepared [Type] documents for managers or legal personnel.
  • Collected [Type] information from customers to complete claims and legal files.
  • Testified on behalf of agency as part of criminal and civic proceedings.
  • Verified accuracy of [Type] records to maintain accuracy of records database.
  • Estimated quantifiable characteristics of [Type] products.
  • Trained other claims staff members on proper handling and evaluation of injury claims.
  • Compared data from surveillance footage to data on medical reports.
  • Prepared summaries of damage, payments and policy coverage.
  • Partnered with legal counsel on litigation cases.
  • Answered questions posed by insured and attorneys.
  • Drafted investigative reports covering phases of investigation in each case.
  • Ran [Number] special projects and initiatives at both local and regional level.
  • Collected premiums on all direct collection files.
  • Reviewed field inspections and coordinated all insurance claim audits.
  • Documented all investigation activity and presented reports to management.
  • Reconciled data in direct collection system with accounting system to address discrepancies.
  • Reported to management on customer problems, field conditions, safety issues and policy problems.
  • Eliminated claimant, premium and provider fraud.
  • Investigated claims involving potential and suspected fraudulent activities.
  • Trained new staff members in detection of external and internal fraud.
  • Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Substantiated legitimate claims and denied unjustified claims.
  • Answered customer questions regarding deductibles.
  • Developed company-wide quality assurance program.
08/2000 to 09/2022 IT Administrator Daily Harvest | New York, NY,
  • Led and assisted technical upgrade projects for clients by working and coordinating with consultants and developers for integrations.
  • Identified computer hardware and network system issues, performing troubleshooting techniques for remediation.
  • Played key role in on-going network design, reevaluation and optimization to keep pace with company growth.
  • Analyzed network security and current infrastructure to assess areas in need of improvement and develop solutions.
  • Managed system-wide operating system and software deployments as well as related software upgrade problems.
  • Imaged and prepared new computers for integration into company networks and systems.
  • Performed troubleshooting to correct computer hardware and software malfunctions.
  • Completed routine and complex software installations, assisting users of various levels of computer sophistication in operation of new and existing software.
  • Linked computers to network and peripheral equipment.
  • Recommended new and replacement hardware and software purchases.
  • Set up and maintained user accounts and client access.
  • Investigated system issues and implemented resolutions to reduce downtime.
07/1987 to 09/2022 Operations Manager Raymour & Flanigan Furniture | Plymouth Meeting, PA,
  • Oversaw employee performance, corrected problems and increased efficiency to maintain productivity targets.
  • Trained team members in successful strategies to meet operational and sales targets.
  • Set employee schedules for consistent staff coverage and delegated work assignments based upon experience and strengths.
  • Ordered parts for customers, repair shops and [Type] department for use in [Type] and [Type] equipment.
  • Located new vendors with better costs per unit and set up favorable terms and pricing structures to reduce company expenses.
  • Processed and reshelved return orders, checking for discrepancies, potential usage and [Type] issue.
  • Moved [Type] parts to designated bays for deliveries using [Type] equipment while overseeing safety procedures.
  • Developed and implemented new procedures for improving inventory control and reducing time required locating parts by modifying part numbers and locations.
  • Met with [Number] [Type] suppliers to discuss return of unused products to recoup wasted dollars.
  • Mitigated financial discrepancies by managing inventory, damaged goods and backorders.
  • Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
  • Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
  • Established positive and effective communication among unit staff and organization leadership, reducing miscommunications and missed deadlines.
  • Identified procedure or process changes required to improve performance and productivity.
  • Reviewed operations reports to understand numbers and trends.
  • Directed initiatives to improve work environment, company culture or overall business strategy.
  • Reduced process bottlenecks by training and coaching employees on practices, procedures and performance strategies.
07/1987 to 09/2022 Parts & Service Director RANGE RV | City, STATE,
  • Maintained effective customer service by responding to service requests quickly to increase overall sales by [Number]%.
  • Guided techs on automotive repair, tool usage and equipment operation.
  • Maintained team productivity and quality of service by establishing and maintaining clear benchmarks.
  • Met with customers to discuss service needs and develop effective and practical solutions.
  • Met with customers to discuss service needs and offer available solutions.
  • Developed written plans and obtained customer consent to proceed.
  • Established team priorities, maintained schedules and monitored performance.
  • Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
  • Evaluated employee performance and conveyed constructive feedback to improve skills.
  • Supervised staff of [Number] personnel by implementing company policies, protocols, work rules and disciplinary action.
  • Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
  • Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
  • Trained personnel in equipment maintenance and enforced participation in exercises focused on developing key skills.
  • Controlled resources and assets for department activities to comply with industry standards and government regulations and OSHA compliance
  • Reduced workflow inconsistencies by recruiting and hiring capable staff members.
  • Maintained store equipment, printers and fax machines.
  • Supervised and performed human resource management functions for [Number] subordinates.
  • Oversaw employee performance, corrected problems to maintain productivity targets.
  • Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
  • Set employee schedules for consistent staff coverage and delegated work assignments based upon experience and strengths.
  • Ordered parts for customers, repair shops and [Type] department for use in [Type] and [Type] equipment.
  • Processed and reshelved return orders, checking for discrepancies, potential usage and [Type] issue.
  • Located new vendors with better costs per unit and set up favorable terms and pricing structures to reduce company expenses.
  • RearClaired parts department to better serve changing trends and keep workspaces organized.
  • Developed and implemented inventory system for over 6,000 sku's in stock
  • Analyzed seasonal sales trends to follow demands of customers and in-shop needs.
  • Mitigated financial discrepancies by managing inventory, damaged goods and backorders.
Education
Expected in to to Bachelor of Arts | Business Management And Marketing Northwood University, Midland, MI, GPA:
Expected in to to Associate of Arts | Accounting Northwood University, Midland, MI, GPA:
Certifications
  • Certified Master RV Technician, RVIA
  • Parts & Service Operations, Spader Companies

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Resume Overview

School Attended

  • Northwood University
  • Northwood University

Job Titles Held:

  • Field Claims Adjuster
  • IT Administrator
  • Operations Manager
  • Parts & Service Director

Degrees

  • Bachelor of Arts
  • Associate of Arts

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

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